Clinical Outcomes and Complications of Tendoscopic Treatment for Flexor Hallucis Longus Tenosynovitis / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
; : 294-301, 2013.
Article
in Ko
| WPRIM
| ID: wpr-195913
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To report the clinical outcomes and complications of flexor hallucis longus (FHL) tendoscopy using 3 portals. MATERIALS ANDMETHODS:
Between January 2012 and April 2013, 10 patients (10 ankles) received tendoscopic surgery for the treatment of FHL tenosynovitis. Patients complaining of pain and tenderness along the course of FHL despite over 6 months of conservative treatments were indicated for surgery. The mean age was 41.7 years (range 18-57) and the follow up period was 12.7 months (range 6-20). Tendoscopy was performed using posteromedial, posterolateral, and plantar portals. Clinical evaluations included preoperative and postoperative visual analogue scale (VAS), American orthopaedic foot and ankle society (AOFAS) score, and patients' satisfaction.RESULTS:
Tendoscopic findings included tenosynovitis in 10 cases, degenerated vinculae in 6 cases, stenosis of the tendon at its entrance into the fibro-osseous tunnel in 5 cases, and degenerative partial tendon tear in 3 cases. Two cases had associated symptomatic os trigonum and 3 cases had posterior ankle impingement syndrome. Preoperative pain decreased from median VAS 6 (range 4-10) to 2.1 (range 1-5) at the last follow up and AOFAS score improved from 50.1 (range 36-63) to 82.1 (range 61-89) (p<0.05). Nine patients were satisfied or very satisfied with the outcome. Injury of the lateral plantar nerve occurred in one case.CONCLUSION:
FHL tendoscopy using 3 portals is a feasible and useful minimal invasive surgical technique for the management of FHL tenosynovitis.Key words
Full text:
1
Database:
WPRIM
Main subject:
Tendons
/
Tenosynovitis
/
Talus
/
Follow-Up Studies
/
Constriction, Pathologic
/
Foot
/
Ankle
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Journal of Korean Foot and Ankle Society
Year:
2013
Document type:
Article